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Name:*

Phone Number:

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Type of property:Single Family Home

Number of Bedrooms:n/a

Number of Bathrooms:n/a

Sq. Ft.

Property Address: (City, State, Zip)

Check all that apply:

Family Room/Den

Formal Dining Room

Laundry Room

Fireplace

Pool

Spa

Guest House Storage

Cellar/Basement

2 Story

Air ConditioningCentral

Heating System:Central

Scenic View?

GarageAttached 1 car

Additional features or upgrades which should be considered:

How soon are you looking to sell?

Immediately

Within 2 Months

Within 6 Months

Within 1 Year

Undecided

Do you also need to find a new home?

Yes

No

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